2008-374 TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building &Codes (518) 761-8256
CERTIFICATE (31F COMPLIANCE
Permit Number. P20080374 Date Issued: Thursday, August 26, 2010
This is to certify that work requested to be done as shown by Permit Number P20080374
has been completed.
Tax Map Number. 523400-315-006-0001-002-000-0000
Location: 708 CORINTH Rd
Owner. STEVEN BEDERIAN
Applicant: STEVEN BEDERIAN
This structure may be occupied as a:
Septic Alteration Residential
By Order of Town Board
TOWN OF QUEENSBURY
Issuance of this Certificate of Compliance DOES NOT relieve the , / !
property owner of the responsibility for compliance with Site Plan, � � X_
Variance, or other issues and conditions as a result of approvals by the Director of Building&Code Enforcement
Planning Board or Zoning Board of Appeals.
TOWN OF QUEENSBURY
742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201
Community Development- Building&Codes (518) 761-8256
BUILDING PERMIT
Permit Number: P20080374 Application Number. A20080374
Tax Map No: 523400-315-006-0001-002-000-0000
Permission is hereby granted to: STEVEN BEDERIAN
For property located at: 708 CORINTH Rd
in the Town of Queensbury,to construct or place
at the above location in accordance with application together with plot plans and other information hereto filed
and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning
Ordinance. Type of Construction Value
Owner Address: STEVEN BEDERIAN
708 CORINTH Rd Septic Alteration Residential
QUEENSBURY,NY 12804-0000 Total value
Contractor or Builder's Name/Address Electrical Inspection Agency
QUEENSBURY SEWER
NY 12804-0000
Plans &Specifications
2008-374
septic alteration residential
$25.00 PERMIT FEE PAID- THIS PERMIT EXPIRES: Tuesday,July 14, 2009
(If a longer period is required,an application for an extension must be made to the code Enforcement Officer
of the Town of Queensbury before the expiration date.)
Dated at the To Queens ry; o ay,July 14, 2008
SIGNED BY for the Town of Queensbury.
Director of Building&Code Enforcement
...........%.. �_..._....... OFFICE USE ONLY..................... .� %_ ...._ .... '
3�s. 6' j�2
TAX MAP NO. PERMIT NO. dtfMPERMIT F '
+
APPROVALS: ZONING TOWN CLERK
________________________________________________________J. �_. _ �. __ .___..€_.
I
APPLICATION FOR SEPTIC DISPOSAL SYSTEM PERM ,
v
A PERMIT MUST BE OBTAINED BEFORE WORK BEGINS.APPLICATION IS SUBJECT TO REVIEW BEFORE 1S) UANCEOF;�VAfaD
PERMIT. � � � _� ��-�... '���'�
OWNER: d 11 INSTALLER:
t f
ADDRESS:�C% l� r> !k I Gt C� ADDRESS: _14
PHONE NOS. PHONE NOS.
LOCATION OF INSTALLATION:
.................................................. .................................. ............................................................................................................................................. RESIDENCE INFORMATION.
I NO.OF :............................... t _
i 1980 or older ..........{...X d........150....alton per bedroom _ - ;"'DAILY FLOW L ,YEAR BUILT i......BEDROOMS k X 3 Cg MP pATlONs TOTAL GARBAGE GRIN ER
# t ................................�...................- �...............................................;
INSTALLED?
-.
1981 -1991 i X 130 gallon per bedroom ? = I SPA OR HOT TllEY
1.............-.................................F.............................................. ......................................,.;...........1.......,..........................-................._....................; �(/
1992 resent t X ? 110 gallon per bedroom ? _ INSTALLED.
-p i
s.................._............................#...............
PARCEL INFORMATION:
✓ TOPOGRAPHY: FLAT ROLLING STEEP SLOPE %SLOPE
✓ SOI,L NATURE:SAND LOAM CLAY OTHER
✓ GROUNDWATER: AT WHAT DEPTH? BEDROCK/IMPERVIOUS MATERIAL: AT
WHAT DEPTH?
✓ DOMESTIC WATER SUPLY: MUNICIPAL_ WELL
(IF WELL:WATER SUPPLY FROM ANY SEPTIC-SYSTEM ABSORPTION IS FT.-)
✓ PERCOLATION TEST: RATE IS PER MIINUTE PER INCH (TEST TO BE
COMPLETED BY A LICENSED PROFESSIONAL ENGINEER OR ARCHITECT)
PROPOSED SYSTEM FOR NEW CONSTRUCTION: All individual sewage disposal systems must be designed by
a licensed professional engineer or architect(unless Installed In a Planning Board approved subdivision). Add 250
gallons to the size of the septic tank and leach field for each gat bage grinder,spa or whirlpool tub.
✓ SEPTIC TANK:,d�& J GALLON (MIN. SIZE IS 1,t 00 GAL.) TILE FIELD: EACH TRENCH _FT.
✓ TOTAL SYSTEM LENGTH: AFT. SEE -'AGE PIT(S): HOW MANY?
✓ SIZE OF EACH FT. X FT.
✓ SIZE OF STONE TO BE USED: # !DEPTH )R THICKNESS__j�___FT.
✓ BED SYSTEM SIZE: X
✓ ALTERNATIVE SYSTEM: --LENGTH ANDIOR SIZE
✓ HOLDING TANK SYSTEM:(If required) NO. OF TAB <S: !SIZE OF EACH
✓ GALLONS.!TOTAL CAPACITY: GAL.
v.. +jj +.+ �.............•••,� ""� ATED ELE TRICAL WORK MUST B'E INSPECTED BY A TOWN""
..
....... ... . .
NOTE: ALARM SYSTEM AND ASSOC C
APPROVED ELECTRICAL INSPECTION AGENCY. PLEASE REV{EW LIST PROVIDED. `I
For your protection, please note that pursuant to Section 136-29 of the Code of the Town of Queensbury, any
permit or approval granted which is based upon or is granted in reliance upon any material misrepresentation or
failure to make a material fact or circumstance known by or on behalf of an applicant, shall be void.
I have read the regulations with respect to this application and
agree to abide b these and all requirements of the Town ofC0-7�-
QUESTIONS? CALL 761-8256 OR EMAIL
g Y codes®aueensburv.neQueensbury Sanitary Sewage Disposal Ordinance.
IT UR WEBSITE FOR MORE INFORMATION
www.aueensburv.net
SIgnature'6fy41son Responsible Date
"" Town of Queensbury ■ Community Development Office - 742 Bay Road, Queensbury, NY 12804
/0 -/Z Al(---whes�47
Septic Inspection Report
Office No. (518) 761-8256 Date Inspectio r es iv
Queensbury Building &Code Enforcement Arrive: I rt r a m
742 Bay Rd., Queensbury, NY 12804 Inspector's Initials:
NAME: E IT NO.:
LOCATION: I PECT ON:
RECHECK:
Comments and/or diagram
Soil T L m/ Clay
Type of Water: ater
Waterline separation distance ft.
Well separation distance ft.
Other wells: ft.
Well Casing Length 50' + - Y N _N/A
Absorption Field: Total length
Length of each trench ft.
Depth of trenches ft.
Size of Stone -4
See a Pits: Number
Size: x
Stone Size:
Piping Size Type
Building to tank "
Tank to Distribution Box
Distribution Box to Field Pit [ �Q�
Opening Sealed: Y N
End Ca
Inlet/Outlet Pipes&Baffles N
Location/ Separations
Foundation to tank ft.
Foundation to absorption
Se ration of Pits ft.
Conforms as per Plot Plan Y N
Engineer Report and As-Built Y N
Location of System on Property:
Front Re Left Side Right Side Middle Front Middle Rear.
S s:
Approved
Partial Approved and needs to be re-inspected, please call the Building &Codes Office
Disapproved
Last revised 06/18/07 L:\Building&Codes Forms-OLD\Building&Codes\Inspection Forms\Septic Inspection Report.doc
_ r
tip
l
( t
iJ
i
V�
(t
-AIei
,
f
i
i I
t
�' .bf l n J